NPIMap

Organization Active NPI

Joseph Hannan M.D.

  • Skilled Nursing Facility
  • Roswell, GA
National Provider Identifier
1194887893
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
025759 Issued in DC
Legal business name
JOSEPH HANNAN M.D.
Practice address
200 Cruise CT
Roswell, GA 30076-4006
Phone
(770) 526-4999
Fax
(770) 552-2538
NPI assigned
Dec 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph T Hannan, M.D.
Title
Physician
Phone
(770) 526-4999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 025759 DC
Point of Service 305S00000X 025759 DC
Skilled Nursing Facility 314000000X 025759 DC Primary

Addresses

Primary practice location

200 Cruise CT
Roswell, GA 30076-4006

Mailing address

200 Cruise CT
Roswell, GA 30076-4006
Phone (770) 526-4999

Other identifiers 1

IdentifierTypeStateIssuer
00509396CMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1194887893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CRUISE CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764006",
            "telephone_number": "770-526-4999",
            "fax_number": "770-552-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CRUISE CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764006",
            "telephone_number": "770-526-4999",
            "fax_number": "770-552-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH HANNAN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HANNAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-526-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "025759",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "DC",
            "license": "025759",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DC",
            "license": "025759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00509396C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.